Charity Dinner Registration Form

To secure your tickets for the Denim Charity Dinner please register below. Once your details have been received, an invoice will be sent to you via email for payment.

Your Details

First Name*required

Surname*required

Phone*required

Mobile*required

Email *required

Fax

Ticket Details

I wish to confirm:

VIP TABLE

- includes 10 people at $3,500, premier seating & electronic signage

STANDARD TABLE

- includes 10 people at $2,100

SEAT(S)

Please confirm number of seats at $240 per person:

Tax Invoice Details

Complete the following information to receive an invoice for payment. Please note your booking will be confirmed once payment has been received.

Company Name

Address*required

Suburb*required

State*required

Postcode*required

Mandatory field(s) marked with *